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		<a href="index.html">&nbsp;&nbsp;&nbsp;&nbsp;<h1><br /><strong>Alumni Portal</strong></h1></a> </div>
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			<li class="current_page_item"><a href="index.html">Home</a></li>
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							<li><a href="http://www.mipgs.ac.in/">Matrusri home</a></li>
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		<form action="" method="post">
			<h2>members login</h2>
			<label>Log In:</label>
		<input name="Your name" type="text" id="Yourname" />
		<label>Password:</label>
		<input name="password" type="password" id="password" />
		<input name="" type="submit" class="button" value="Login" />
		<div id="register"><a href="registration.html">register now</a></div>
		</form>
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  	<h1><br /><br /><CENTER><font color="#1b2c3" size="4px" family="times new roman"><STRONG>MATRUSRI INST OF P.G. STUDIES</strong></font><br /><BR /><br />
    SAIDABAD</font> </center></h1>
	<p><h3>STUDENT REGISTRATION FORM:</h3></p>
	<div style="clear: both;">&nbsp;</div>

		<div id="container">

<div class="clear">
		<div class="cb_template_default">
		<div class="contentpaneopen">
		<div class="cb_comp_outer">
		<div class="cb_comp_inner cbHtmlEdit cbRegistration">
		
<div id="cbIconsTop"><span class='cbFieldIconsLabels'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' /> Required field</span></div>
		<div style="clear: both;">&nbsp;</div>
		<form action="http://mipgs.ac.in/index.php?option=com_comprofiler" method="post" id="cbcheckedadminForm" name="adminForm" class="cb_form" enctype="multipart/form-data">
		<input type="hidden" name="id" value="0" />
		<input type="hidden" name="gid" value="0" />
		<input type="hidden" name="emailpass" value="0" />

		<input type="hidden" name="option" value="com_comprofiler" />
		<input type="hidden" name="task" value="saveregisters" />
		<input type="hidden" name="cbsecuritym3" value="cbm_12e3f3e4_09764814_29ae3d2edda3a432dc31bff67eb99197" />


		<input type="hidden" name="cbrasitway" value="cbrv1_049c4e831ba97e7513081432284438be_kNWoAUdjcV3ej7dQ" />

		
<table class="contentpane" id="registrationTable">


			<tr class="sectiontableentry1 cbft_predefined" id="cbfr_46">

			<td class="titleCell">
			<label for="firstname" id="cblabfirstname" title="First Name:Please enter your real first name.">First Name:</label></td>
			<td class="fieldCell" id="cbfv_46"><input type="text" name="firstname" id="firstname" value=""  mosReq="1" mosLabel="First Name" size="25" class="required inputbox" title="First Name: Please enter your real first name." /><span class='cbFieldIcons'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' title='This Field is required' /></span></td>
				</tr>
				<tr class="sectiontableentry2 cbft_predefined" id="cbfr_48">

			<td class="titleCell"><label for="lastname" id="cblablastname" title="Last Name:Please enter your real last name.">Last Name:</label></td>

			<td class="fieldCell" id="cbfv_48">
			<input type="text" name="lastname" id="lastname" value=""  mosReq="1" mosLabel="Last Name" size="25" class="required inputbox" title="Last Name: Please enter your real last name." />
			<span class='cbFieldIcons'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' title='This Field is required' /></span></td></tr>
			<tr class="sectiontableentry1 cbft_primaryemailaddress" id="cbfr_50">
					<td class="titleCell"><label for="email" id="cblabemail" title="Email:Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.">Email:</label></td>

<td class="fieldCell" id="cbfv_50"><input type="text" name="email" id="email" value=""  mosReq="1" mosLabel="Email" size="25" class="email required inputbox" title="Email: Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration." /><span class='cbFieldIcons'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' title='This Field is required' /></span></td>
</tr>

<tr class="sectiontableentry2 cbft_text" id="cbfr_64">

			<td class="titleCell"><label for="cb_mobileno" id="cblabcb_mobileno">Mobile No:</label></td>

			<td class="fieldCell" id="cbfv_64">
			<input type="text" name="cb_mobileno" id="cb_mobileno" value=""  mosReq="1" mosLabel="Mobile No" size="25" maxlength="11" class="required inputbox" /><span class='cbFieldIcons'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' title='This Field is required' /></span></td>
</tr>

<tr class="sectiontableentry1 cbft_text" id="cbfr_65">

<td class="titleCell"><label for="cb_telephone" id="cblabcb_telephone">Telephone:</label></td>
					<td class="fieldCell" id="cbfv_65"><input type="text" name="cb_telephone" id="cb_telephone" value=""  size="25" class="inputbox" /><span class='cbFieldIcons'></span></td>
</tr>

<tr class="sectiontableentry2 cbft_predefined" id="cbfr_42">
					
			<td class="titleCell"><label for="username" id="cblabusername" title="Username:Please enter a valid username.  No spaces, at least 3 characters and contain 0-9,a-z,A-Z">Username:</label></td>

			<td class="fieldCell" id="cbfv_42">
			<input type="text" name="username" id="username" value=""  mosReq="1" mosLabel="Username" size="25" class="required inputbox" title="Username: Please enter a valid username.  No spaces, at least 3 characters and contain 0-9,a-z,A-Z" /><span class='cbFieldIcons'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' title='This Field is required' /></span></td>
				</tr>
				<tr class="sectiontableentry1 cbft_password" id="cbfr_51">
					<td class="titleCell"><label for="password" id="cblabpassword" title="Password:Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs">Password:</label></td>
	
<td class="fieldCell" id="cbfv_51">
<input type="password" name="password" id="password" value=""  mosReq="1" mosLabel="Password" autocomplete="off" size="25" maxlength="50" class="{minlength:6} required inputbox" title="Password: Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs" />
<span class='cbFieldIcons'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' title='This Field is required' /></span></td>
				</tr>
				<tr class="sectiontableentry1 cbft_password" id="cbfr_51__verify">
					<td class="titleCell"><label for="password__verify" id="cblabpassword__verify" title="Verify Password:Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs">Verify Password:</label></td>
					<td class="fieldCell" id="cbfv_51__verify">
<input type="password" name="password__verify" id="password__verify" value=""  mosReq="1" mosLabel="Verify Password" autocomplete="off" size="25" maxlength="50" class="{minlength:6,equalTo:'#password'} required inputbox" title="Verify Password: Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs" /><span class='cbFieldIcons'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' title='This Field is required' /></span></td>
				</tr>
				<tr class="sectiontableentry2 cbft_text" id="cbfr_54">
					<td class="titleCell"><label for="cb_addressline1" id="cblabcb_addressline1">Address Line 1:</label></td>
					<td class="fieldCell" id="cbfv_54"><input type="text" name="cb_addressline1" id="cb_addressline1" value=""  size="25" class="inputbox" /><span class='cbFieldIcons'></span></td>
				</tr>
				<tr class="sectiontableentry1 cbft_text" id="cbfr_55">
					
<td class="titleCell"><label for="cb_addressline2" id="cblabcb_addressline2">Address Line 2:</label></td>
					<td class="fieldCell" id="cbfv_55"><input type="text" name="cb_addressline2" id="cb_addressline2" value=""  size="25" class="inputbox" /><span class='cbFieldIcons'></span></td>
				</tr>
				<tr class="sectiontableentry2 cbft_text" id="cbfr_56">
					<td class="titleCell"><label for="cb_city" id="cblabcb_city">City:</label></td>
					<td class="fieldCell" id="cbfv_56"><input type="text" name="cb_city" id="cb_city" value=""  size="25" class="inputbox" /><span class='cbFieldIcons'></span></td>
				</tr>
				<tr class="sectiontableentry1 cbft_text" id="cbfr_57">
					<td class="titleCell"><label for="cb_state" id="cblabcb_state">State:</label></td>
					<td class="fieldCell" id="cbfv_57"><input type="text" name="cb_state" id="cb_state" value=""  size="25" class="inputbox" /><span class='cbFieldIcons'></span></td>
				</tr>
				<tr class="sectiontableentry2 cbft_text" id="cbfr_58">

<td class="titleCell"><label for="cb_country" id="cblabcb_country">Country:</label></td>
					<td class="fieldCell" id="cbfv_58"><input type="text" name="cb_country" id="cb_country" value=""  size="25" class="inputbox" /><span class='cbFieldIcons'></span></td>
				</tr>
				<tr class="sectiontableentry1 cbft_text" id="cbfr_59">
					<td class="titleCell"><label for="cb_pincode" id="cblabcb_pincode">Pincode:</label></td>
					<td class="fieldCell" id="cbfv_59"><input type="text" name="cb_pincode" id="cb_pincode" value=""  size="25" class="inputbox" /><span class='cbFieldIcons'></span></td>
				</tr>
				<tr class="sectiontableentry2 cbft_select" id="cbfr_75">
					<td class="titleCell"><label for="cb_graduation" id="cblabcb_graduation">Graduation:</label></td>
					<td class="fieldCell" id="cbfv_75">
<select name="cb_graduation" id="cb_graduation"  class="inputbox">
	<option value=""> </option>
	<option value="UG" id="cbf30">UG</option>
	<option value="PG" id="cbf31">PG</option>
</select>

<span class='cbFieldIcons'></span></td>
				</tr>
				<tr class="sectiontableentry1 cbft_select" id="cbfr_61">
					<td class="titleCell"><label for="cb_Course" id="cblabcb_Course">Course:</label></td>
					<td class="fieldCell" id="cbfv_61">
<select name="cb_Course" id="cb_Course"  mosReq="1" mosLabel="Course" class="required inputbox">
	<option value=""> </option>
	<option value="Civil Engg" id="cbf32">Civil Engg</option>
	<option value="Computer Science and Engg" id="cbf33">Computer Science and Engg</option>
	<option value="Electrical and Electronics Engg" id="cbf34">Electrical and Electronics Engg</option>
	<option value="Electronics and Communications Engg" id="cbf35">Electronics and Communications Engg</option>
	<option value="Information Technology" id="cbf36">Information Technology</option>
	<option value="Mechanical Engineering" id="cbf37">Mechanical Engineering</option>
	<option value="Production Engineering" id="cbf38">Production Engineering</option>

<option value="ME Electronics" id="cbf39">ME Electronics</option>
	
<option value="ME Mechanical" id="cbf40">ME Mechanical</option>
	
<option value="MSc" id="cbf41">MSc</option>
	
<option value="MCA" id="cbf41">MCA</option>
	
<option value="MBA" id="cbf41">MBA</option>
</select>

<span class='cbFieldIcons'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' title='This Field is required' /></span></td>
				</tr>

<tr class="sectiontableentry2 cbft_date" id="cbfr_66">

<td class="titleCell"><label for="cb_year" id="cblabcb_year">Year:</label></td>

<td class="fieldCell" id="cbfv_66"><input class="inputbox required" mosReq="1" mosLabel="Year of Passing" type="text" name="cb_year" id="cb_year" value="" />
<span class='cbFieldIcons'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' title='This Field is required' /></span></td>
				</tr>
<tr class="sectiontableentry1 cbft_date" id="cbfr_63">
					<td class="titleCell"><label for="cb_birthday" id="cblabcb_birthday">Birthday:</label></td>

<td class="fieldCell" id="cbfv_63"><input class="inputbox" mosReq="0" mosLabel="Birthday" type="text" name="cb_birthday" id="cb_birthday" value="" />
<span class='cbFieldIcons'></span></td>
</tr>


<tr>
      <td colspan="2" class="contentpaneopen">&nbsp;</td>
    </tr>
    <tr>
      <td colspan="2">
		<span class="cb_button_wrapper"><input type="submit" value="Register" class="button" /></span>
      </td>
    </tr></table>
</form><div id="cbIconsBottom"><span class='cbFieldIconsLabels'> <img src='mipgslogosmall.jpg' width='16' height='16' alt='*' title='This Field is required' /> Required field</span></h1></span></tr></div></div>
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